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1942234356
ELIZABETH ANN SLATER
FORT WAYNE, IN
NPI
1942234356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36001428A)
Enumeration Date
2006-07-10
Last Update Date
2010-03-23
Business Address
MRS. ELIZABETH ANN SLATER MA, ATC, LAT
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-435-2626
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Mailing Address
MRS. ELIZABETH ANN SLATER MA, ATC, LAT
8930 CROSIER LANE
FORT WAYNE, IN 46825
Phone number: 260-402-5204
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